MEDICARE: WILLIAM SANDOVAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036-086443	IL

General Provider Information

NPI Number	:	1912080912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM SANDOVAL MD

Provider Business Mailing Address
First Line	:	1747 HENRY LUCKOW LN
Second Line	:
City	:	BELVIDERE
State	:	IL
Zip	:	61008-1702
Country	:	US
Telephone Number	:	815-971-3030
Fax Number	:	815-971-9895

Provider Business Practice Location Address
First Line	:	1747 HENRY LUCKOW LN
Second Line	:
City	:	BELVIDERE
State	:	IL
Zip	:	61008-1702
Country	:	US
Telephone Number	:	815-971-3030
Fax Number	:	815-971-9895

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/24/2015

Similar Medicare Providers

1518365428 — DIALYSIS OF NORTHERN ILLINOIS LLC
Practice Location Address:

1751 HENRY LUCKOW LN
BELVIDERE, IL
61008-1702

Practice Phone: 815-544-0311
Practice Fax: 815-544-9292

1700922267 — DR. JAMES W PHOENIX MD
Practice Location Address:

1747 HENRY LUCKOW LN
BELVIDERE, IL
61008-1702

Practice Phone: 815-971-3030
Practice Fax: 815-971-9895

1346415965 — BOONE COUNTY RURAL FIRE PROTECTION DISTRICT NUMBER TWO
Practice Location Address:

1777 HENRY LUCKOW LN
BELVIDERE, IL
61008-1702

Practice Phone: 815-544-3336
Practice Fax: 815-544-4682

1952632481 — HEIDI M FALL OTR/L
Practice Location Address:

1731 HENRY LUCKOW LN
BELVIDERE, IL
61008-1702

Practice Phone: 815-544-6967
Practice Fax:

1972996940 — ACCELERATED REHABILITATION CENTERS, LTD
Practice Location Address:

1731 HENRY LUCKOW LN
BELVIDERE, IL
61008-1702

Practice Phone: 815-544-6967
Practice Fax: 815-544-6984

1942685789 — MATTHEW WINDMOELLER DPT
Practice Location Address:

1731 HENRY LUCKOW LN
BELVIDERE, IL
61008-1702

Practice Phone: 815-544-6967
Practice Fax:

Directions to “ WILLIAM SANDOVAL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.